Pinhole Surgery

Repair Receding Gums

Restore Your Gumline With Pinhole Surgery in Lafayette

Receding gums can make your teeth appear longer and expose sensitive root surfaces. Without proper care, recession may contribute to discomfort and other oral health concerns. Pinhole surgery in Lafayette is a minimally invasive treatment that repositions existing gum tissue to cover exposed tooth roots.

Dr. Keene uses the Chao Pinhole Surgical Technique as an alternative to traditional gum grafting. This approach helps you protect your teeth and improve the appearance of your gumline. You avoid large incisions or the need to use donor tissue, both of which are commonly associated with conventional grafting. Still feeling nervous? We have sedation available to keep you relaxed.

Smiling female dentist in black coat standing in a modern dental clinic with equipment and certificates.

Save Your Smile With a Gentle Gum Repair

Gum recession exposes the roots of your teeth. Over time, that can lead to sensitivity, root decay, and even loose teeth. Pinhole surgery restores coverage using your own tissue. It offers a less invasive way to protect your smile and improve the appearance of your gumline.

No Donor Tissue

We reposition your existing gum tissue. No need to use donor tissue or tissue from your mouth.

Root Protection

Restored gum coverage helps shield vulnerable roots from decay and further damage.

Less Sensitivity

Covering exposed roots helps calm the sharp sensitivity that hot and cold foods can cause.

No Stitches

A tiny entry point means there are no sutures to manage while you heal.

Multiple Areas at Once

Several areas of gum recession can often be treated in one appointment.

Healthier Look

Your own tissue blends with the rest of your gumline for an even look.

Find Out What Happens During Pinhole Gum Treatment

Every treatment begins with a careful exam. Dr. Keene measures your gum recession, checks for active gum disease, and looks at your bite. Grinding or a misaligned bite can contribute to recession. Addressing the cause helps your results last. If you're a good candidate, here's what treatment involves:

  • Comfort First - We numb the area thoroughly before we begin. If you feel nervous, you can choose laughing gas, oral sedation, or IV sedation.
  • A Small Entry Point - Your dentist makes a tiny opening in the gum tissue near the treatment area. This replaces the large incisions used in grafting.
  • Gentle Repositioning - Special instruments loosen the gum tissue and guide it over the exposed roots. The tissue slides into place without cutting.
  • Collagen Support - Small collagen strips are placed beneath the gums to help hold them in position. This supports stable healing.
  • Easy Aftercare - You'll get simple instructions for eating and cleaning while you heal. A follow-up visit confirms everything looks healthy.

During your visit, you can unwind in a private care room with Bose noise-canceling headphones and a cozy blanket.

Want to repair receding gums without a graft? Schedule your consultation for pinhole surgery in Lafayette.

Frequently Asked Questions About Pinhole Surgery

Read Why Our Patients Love Us

For decades, I had a trusted dental office with the most amazing hygienist. Well, the dentist, I trusted and the hygienist, both retired and the rest of that clinic I used to go to doesn't cut the mustard for me. Quynh smiles feels like my new dental office. although I have only gotten a...

For decades, I had a trusted dental office with the most amazing hygienist. Well, the dentist, I trusted and the hygienist, both retired and the rest of that clinic I used to go to doesn't cut the mustard for me.

Quynh smiles feels like my new dental office. although I have only gotten a crown placed and one cleaning, I can say that the work is up to par with my current needs.

The office staff is professional, kind, courteous, knowledgeable, and responsive. Dr. Keene himself has great skill and for anyone needing a crown this is your guy. ONE STOP SHOP, he has the lab right there! For those of you who don't know what this means, it means that you leave with your permanent crown instead of the usual, 2 to 4 week wait with a temporary crown which often times falls out or has complication before the permanent crown gets sent back to your dentist.

Overall highly recommend this place.


Darcy P

Dr. Keene and his team are fantastic! I always feel like they are thorough, friendly, and cutting edge. Every cleaning and treatment I have received has left me feeling better and knowing that my teeth will stay healthy for a long, long time.

Katherine H

Absolutely amazing. Dr. Keene and his whole crew have literally saved my life. I had severe dental trauma growing up and highly neglected my teeth. Dr Keene laid out my options and helped me choose what was going to best for my health and my budget. His whole staff is truly so kind and caring. I...

Absolutely amazing. Dr. Keene and his whole crew have literally saved my life. I had severe dental trauma growing up and highly neglected my teeth. Dr Keene laid out my options and helped me choose what was going to best for my health and my budget. His whole staff is truly so kind and caring. I already have and will continue to refer anyone I know to him.


Amanda N

Keene Smiles is the Best! The staff is absolutely wonderful.
Dr. Keene and his staff are so kind. Shout out to my favorite hygienist ever,Rhonda.

Denise L

My visit was scheduled to replace a crown. Although I was very nervous about the work that would be performed, the staff made me comfortable and the procedure was as pain-free as can be under the circumstances. Dr. Keene explained every step of the process. The technology he uses to make the...

My visit was scheduled to replace a crown. Although I was very nervous about the work that would be performed, the staff made me comfortable and the procedure was as pain-free as can be under the circumstances. Dr. Keene explained every step of the process. The technology he uses to make the same day crown is simply amazing. So happy I found his practice!


Sara R

My visit was a quick and thorough tooth cleaning. I hadn't been Keene Smiles for some time because of the pandemic. I'm glad I went.
p.s—Kristin, the hygienist, was great!

Richard P

My first visit was very efficient from check-in to check-out. Every step was fully explained and I was given choices on optional treatments. Dr, Keene is very friendly and the staff was kind. I recommend him highly.

Carle C

The folks at Keene Smiles are efficient and proficient. My appointment was on time and the technician made me comfortable while she took the x-rays and did the cleaning. Dr. Keene explained the condition of my teeth in a very understandable manner.

Bob B

From the time you enter the door and Emily greets you with her great smile, you'll feel at ease and welcome. The entire staff will work to make you comfortable while they beautify your smile. The level of personal care and attention to detail are unmatched. Dr Keene is a true genius in the art...

From the time you enter the door and Emily greets you with her great smile, you'll feel at ease and welcome. The entire staff will work to make you comfortable while they beautify your smile. The level of personal care and attention to detail are unmatched. Dr Keene is a true genius in the art of cosmetic dentistry!

Thank you all for your dedication!


Amy H

This office is modern, well laid out, and clean. The employees are all very friendly and helpful. Dr. Keene is friendly, knowledgeable, and great to work with. I received same day service on a crown preparation and installation with fantastic results. I've been to many different dentists over...

This office is modern, well laid out, and clean. The employees are all very friendly and helpful. Dr. Keene is friendly, knowledgeable, and great to work with. I received same day service on a crown preparation and installation with fantastic results. I've been to many different dentists over the years from around the world. This office and their Doctor and services are the best I've experienced. Highly recommended even with an hour drive one way!


Shawn E